Door Placards

  • Is a door placard posted?

  • Is the door placard accurate and up to date?

Training

  • Documentation of general lab safety training is available

  • Photo taken?

  • Documentation of Hazard Communication (HazCom) with GHS training is available

  • Photo taken?

  • All personnel who generate or handle hazardous waste have had hazardous waste training

  • Photo taken?

  • Personnel have been trained and PPE Training Certification Forms are available for review (not scored)

  • Photo taken?

  • Documentation of lab-specific training on SOPs is available (not scored)

  • Photo taken?

Personnel Knowledge and Practices

  • Do lab personnel know what to do in the event of an emergency, such as fire, injury, including evacuation routes?

  • Photo taken?

  • Secondary containers and carts when necessary are used during transport of more than one liter of chemicals or for particularly hazardous chemicals

  • Photo taken?

  • Do lab personnel know how to clean up chemical spills and when to seek help?

  • Photo taken?

  • A written Chemical Hygiene Plan is available in the laboratory

  • Photo taken?

  • Do lab personnel know who the Departmental Safety Officer is?

  • Photo taken?

  • Do lab personnel know what an MSDS or SDS is and where to find them and other safety information?

  • Photo taken?

  • Has the lab submitted to EHS a current chemical inventory in the last calendar year?

  • Photo taken?

  • Lab check-out procedures for departing lab workers are used to avoid long-term storage of abandoned chemicals

  • Photo taken?

Chemical Labeling, Storage & Transport

  • Containers are clearly labeled

  • Photo taken?

  • Containers are compatible with the chemical (e.g. No food containers)

  • Photo taken?

  • Containers are kept closed.

  • Photo taken?

  • Labeled chemical cabinets are true to their contents.

  • Photo taken?

  • Heavy containers are stored on lower shelves

  • Photo taken?

  • Chemicals of different hazard classes are segregated to avoid incompatible chemical and conditions (e.g. flammable liquids and oxidizers, corrosives and metal containers/cabinets, oxidizing acids and organic acids.)

  • Photo taken?

  • Corrosives are not stored above eye level

  • Photo taken?

  • If pyrophorics or air/water reactive solids are present, proper PPE, firefighting measures, administrative, and engineering controls are in proper use

  • Photo taken?

  • Materials with short shelf lives are dated and disposed of per supplier's recommendations

  • Photo taken?

  • Refrigeration units and/or microwaves for chemical storage and processing are labeled "Not for Food"

  • Photo taken?

  • Refrigeration units containing flammables are approved for flammables storage

  • Photo taken?

Hazardous Waste Management

  • Containers are compatible with waste

  • Photo taken?

  • Containers are kept closed except during transfer of materials

  • Photo taken?

  • Containers are labeled with the official UT Hazardous Waste label

  • Photo taken?

  • Constituents are described with complete chemical name

  • Photo taken?

  • Hazardous waste storage area is labeled with yellow Hazardous Waste Storage Area sign (not scored)

  • Photo taken?

Fume Hood

  • Each chemical fume hood has been surveyed for proper airflow (not scored)

  • Photo taken?

  • Fume hoods are used with the sash in appropriate position

  • Photo taken?

  • Fume hood vents are unobstructed

  • Photo taken?

  • Fume hood is not overloaded (e.g. Large equipment or excessive storage).

  • Photo taken?

  • Sash glass is clean and maintained to have a clear visual path to work being done

  • Photo taken?

Compressed Gases

  • Storage quantities are minimized

  • Photo taken?

  • Cylinders are secured from tipping by a chain or strap

  • Photo taken?

  • Protective valve caps are in place

  • Photo taken?

  • All cylinders including lecture bottles, if present, are stored upright

  • Photo taken?

  • Cylinder carts are used for transport

  • Photo taken?

  • Empty or unused gas cylinders are promptly returned to supplier (not scored)

  • Photo taken?

Equipment & Physical Hazards

  • Flexible cords and other electrical equipment are in good condition

  • Photo taken?

  • All electrical equipment is being used according to its design and approved use (e.g. Circuits are not overloaded. Power strips are not daisy-chained. Extension cords are not running through ceiling tiles, behind heavy movable objects or through walls.)

  • Photo taken?

  • Circuit breaker panels are unobstructed

  • Photo taken?

  • Machines, instruments and tools have access panels/guards are in place

  • Photo taken?

General Work Environment

  • Is the space organized and free from clutter or potentially unsafe working conditions?

  • Photo taken?

  • Current storage conditions do not present a fire hazard and do not block sprinkler systems

  • Photo taken?

  • Fire extinguisher is mounted on the wall and access is not blocked by equipment or supplies

  • Photo taken?

  • Do lab personnel know the location of and how to use emergency equipment, such as safety showers and eyewash stations?

  • Photo taken?

  • Emergency eyewash stations are tested weekly to ensure operation by lab personnel

  • Photo taken?

  • Emergency eyewash and shower are accessible

  • Photo taken?

  • Aisles are uncluttered and are without tripping hazards

  • Photo taken?

  • All exits are unobstructed

  • Photo taken?

  • Is the area free from any other recognized hazards?

  • Photo taken?

Personal Protective Equipment (PPE)

  • Appropriate equipment (such as gloves, safety glasses, goggles) is available and in functional condition

  • Photo taken?

  • PPE is being worn correctly in the laboratory (check N/A if no work is being performed at time of inspection)

  • PPE is being stored properly to guard against contamination or damage

  • Photo taken?

  • Are respirators used? (Not scored)

  • Are respirators used as part of a respiratory protection program? (Not scored)

  • Is hearing protection used? (Not scored)

  • Is a hearing protection used as part of a hearing conservation program? (Not scored)

Potential improvements or General Comments

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Web Links

  • EHS Web Page
    ehs.utk.edu
    http://www.ehs.utk.edu

  • EHS Safety Manual
    ehs.utk.edu/safety%20manual/smanualaph2kj
    http://ehs.utk.edu/safety%20manual/Safetymanual2kj.html

  • Lab Safety Manual and Chemical Hygiene Plan Template
    ehs.utk.edu/safety%20manual/Guides/LabSafetyManual2015_09_08.pdf
    http://ehs.utk.edu/safety%20manual/Guides/LabSafetyManual2015_09_08.pdf

Safety Office Representative Performing Inspection

  • Environmental Health & Safety Representative:

  • Signature

Responsible Laboratory Representative (PI or designee)

  • I am aware that this Laboratory Safety Survey has been conducted and will participate in addressing corrective actions as appropriate to my position and level of authority.

  • Laboratory Representative

  • Laboratory Representative

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